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Acute Ischemic Stroke Program - eV3

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Solitaire FR Revascularization Device Clinical Studies<br />

Restore Flow<br />

Unique design.<br />

Fast flow restoration.<br />

The Solitaire FR device’s self-expanding<br />

design creates a simple, single-operator<br />

procedure. 1<br />

Retrieve Clot<br />

Maximize clot retrieval.<br />

Minimize procedure time.<br />

Solitaire FR device with Parametric <br />

Design provides multiple planes of<br />

clot contact to enhance capture. 2<br />

Revive<br />

Neurological Tissue 4<br />

Next generation technology.<br />

Revolutionary clinical results.<br />

Solitaire FR revascularization device is the<br />

most effective 5 mechanical thrombectomy<br />

device combining the ability to immediately<br />

restore blood flow, administer medical<br />

therapy and retrieve clot in patients<br />

experiencing acute ischemic stroke.<br />

REVASCULARIzATION RATE<br />

VESSEL WALL<br />

Clot<br />

Solitaire FR<br />

Device deployed<br />

VESSEL WALL<br />

Depiction of a 4x20 Solitaire FR Device in a vessel.<br />

96.0%<br />

68.5%<br />

Retrospective Study (TICI≥2a) SWIFT (TIMI≥2)<br />

Radial Force (N/mm)<br />

mm 2<br />

RADIAL FORCE 3<br />

0.08<br />

0.06<br />

0.04<br />

0.02<br />

0<br />

CELL AREA 3<br />

0.12<br />

0.1<br />

0.08<br />

0.06<br />

0.04<br />

0.02<br />

Deployment Retrieval<br />

0.71 1 1.5 2 2.5<br />

Constrained Diameter (mm)<br />

Based on an average of N=3 4x20 Solitaire FR Revascularization Devices<br />

Maximized radial force when deployed within<br />

occlusion to facilitate fast flow restoration.<br />

0.095mm 2<br />

81% of Area Maintained<br />

0.1115mm 2<br />

Based on an average of N=2 4x20 Solitaire 2.25mm<br />

0.0<br />

Cell Area in Constrained Tube.<br />

FR Revascularization Devices.<br />

2 3.0mm2 Parametric Design preserves cell-size over<br />

varying vessel diameters which enhances clot<br />

capture and retrieval.<br />

3<br />

3.5 4<br />

FAST FLOW RESTORATION<br />

Flow restoration to the MCA upon deployment of<br />

the Solitaire FR device.<br />

WALL APPOSITION 3<br />

NEUROLOGICAL OUTCOMES MORTALITy RATE<br />

54.6%<br />

Retrospective Study<br />

(mRS≤2)<br />

36.0%<br />

SWIFT<br />

(mRS≤2)<br />

58.2%<br />

SWIFT<br />

(Good Neurological<br />

Outcomes)<br />

Good neurological outcome defined as mRS ≤ 2, or equal to the prestroke<br />

mRS if the prestroke mRS was higher than 2, or NI HSS score improvement<br />

of 10 points or more.<br />

Solitaire FR Revascularization<br />

Device in a 3mm Vessel.<br />

An optimal balance of navigability, wall-apposition,<br />

and clot retention.<br />

20.5%<br />

17.2%<br />

Retrospective Study SWIFT<br />

Solitaire FR With Intention<br />

For Thrombectomy (SWIFT) 7<br />

Retrospective<br />

Study 7<br />

Principal Investigators (PI) J.L. Saver, U.S.A. N/A<br />

Number of Patients<br />

113<br />

(58 Solitaire FR, 55 MERCI * )<br />

Solitaire FR Thrombectomy for <strong>Acute</strong><br />

Revascularization (STAR) 7<br />

V. Mendes Pereira, Switzerland<br />

J. Gralla, Switzerland<br />

reFerenCes<br />

1. Design Specification: PS08-001F. 2. Covidien Testing Data: FD2601A. 3. FD2815: Competitive Device Test Plan---Flow Restoration Device. 4. SolitairetM FR Retrospective Study 5. The Solitaire FR<br />

Revascularization Device is superior to the Merci Retrieval System* in achieving arterial recanalization of the occluded target vessel without any presence of symptomatic intracranial hemorrhage in the<br />

Solitaire FR With Intention For Thrombectomy (SWIFT) Study SWIFT IDE # GO90082 FD2923. 6. Symptomatic Intracerebral Hemorrhage 7. Corelab reviewed 8. The CellotM balloon guide catheter may not<br />

be available for distribution in your country.<br />

INITIAL ANGIOGRAM AFTER INITIAL DEPLOYMENT<br />

For general inquiries or to learn more about<br />

Physician Workshops and Centers of Excellence,<br />

please email stroke@covidien.com<br />

141<br />

200<br />

(enrolling)<br />

Baseline NIHSS 17.3 18 (8-30)<br />

Recanalization Rate<br />

(TIMI≥2)<br />

Revascularization Rate<br />

(TICI≥2b)<br />

68.5% - N/A<br />

- 85% Primary Endpoint<br />

mRS≤2 at 90 days 36.3% 54.6% Secondary Endpoint<br />

Mortality at 90 days 17.2% 20.5% N/A<br />

Device Related Adverse Events 8.6% 0.7% N/A<br />

SICH 6 1.7% 4% N/A<br />

Solitaire FR With Intention For Thrombectomy (SWIFT): The purpose of this study is to demonstrate substantial equivalence of the Solitaire FR<br />

revascularization device with a legally marketed device, Merci Retrieval System * .<br />

Retrospective Study: The purpose of this study is to provide safety and efficacy data on the Solitaire FR device when used as a first choice device in<br />

real practice in revascularization of patients with acute ischemic stroke.<br />

Solitaire FR Thrombectomy for <strong>Acute</strong> Revascularization (STAR): The purpose of this study is to evaluate the safety and efficacy of the Solitaire FR device in subjects requiring mechanical thrombectomy when used to its Instructions For Use (IFU), in real life practice.<br />

Case study images provided with permission by Prof. Andersson, Karolinska Hospital, Helsinki, Sweden.

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